Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
The Senior Compliance Analyst will be primarily responsible for managing health plan and regulatory audit activity including, but not limited to, audit deliverable coordination, on-site audit coordination and management, and mock audit activities. The individual will also manage the corrective action process for health plan and regulatory CAPs. This role requires collaboration with stakeholders at all levels of the organization; therefore, candidates should demonstrate skillful communication, flexibility, and conflict resolution skills.
- Coordinate all aspects of regulatory audits (i.e., pre-site deliverables, mock audits, on-site visits, logistics, and written responses to audit reports)
- Synthesize audit-related information (i.e., scope, findings, recommendations, corrective action plans, and status) and provide Compliance and business operations leadership written and oral reports of ongoing and completed audits
- Manage multiple audits and collaborate across multiple business areas to gather needed information for regulatory audits and corrective action plans
- Develop compliance communications and drive issue resolutions
- Analyze, understand, and articulate regulatory and contractual requirements
- Educate business partners on regulatory audit processes as needed
- Manage, track and report regulatory audits and CAPs
- Coordinate with Legal Counsel as needed
- Perform additional duties as requested or required by management
- Travel as necessary (up to 25%)
- Bachelor’s degree in business, healthcare, or related area of study, or equivalent education and work experience
- 3+ years of experience in compliance, privacy and/or regulatory affairs or with supporting audits in a highly regulated industry; preferably a government, health care or managed care environment
- Intermediate level of proficiency with MS Word, Excel, and PowerPoint
- Strong attention to detail
- Able to work under pressure
- Able to meet deadlines consistently
- Able to work independently
- Experience working with Medicare, Medicaid or Commercial benefits and regulations
- Working knowledge of managed care and dental/vision benefit plans
- Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
- Competitive compensation package.
- Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
- Life and disability insurance.
- A great 401(k) with company match.
- Tuition assistance, paid parental leave and backup family care.
- Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
- Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
- Employee Resource Groups that advocate for inclusion and diversity in all that we do.
- Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.